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FAMILY SMILES DENTAL NPI 1699914721


NPI Information

NPI: 1699914721
Provider Name: FAMILY SMILES DENTAL
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
59 HILLSIDE TRCE
SUITE 105
DALLAS, GA
ZIP 30157
Phone: (770) 505-4746
Get Directions

FAMILY SMILES DENTAL is a general practice dentist in Dallas, GA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. FAMILY SMILES DENTAL NPI is 1699914721. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

59 HILLSIDE TRCE
SUITE 105
DALLAS, GA
ZIP 30157-476
Phone: (770) 505-4746
Fax: (770) 505-0047

The provider's authorized official is Andrew Zamora .
The authorized official title is Dentist/president and has the following contact phone number (770) 505-4746.

The enumeration date for this NPI number is 2/12/2009 and was last updated on 2/12/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeDN012616GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1643671594BMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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